Alex was about 40 pounds when diagnosed over 3 years ago, and hasn't put much weight on since then, despite getting a lot taller. "Skinny" jeans fall off him. The kid's a beanpole, but what concerns me more is his lack of strength. It seems that no matter what we fed him, with the diabetes, he couldn't put on weight. This also makes site placement difficult. Last year I started weightlifting and changing my eating habits, so I bought some whey protein powder for myself. Since it had a positive benefit for me (I was looking to lose weight, not gain, but it's related), I wondered if it would work for Alex, too. I bought a bag of chocolate powder for him: EAS Chocolate powder at BJs, about $30 for an enormous bag. It was a hit! Turns out, he really likes these faux "shakes" when blended up with milk. One serving, mixed with milk, is 25g protein and 16g carbs (13g from the milk itself). It's much lower in carbs than regular chocolate milk, which is about 45g when store-bought. This is an easy, fast way to introduce lean protein to any meal that might be too carb-heavy. While you're at it, it's easy to add in fiber powder. This will thicken up the drink slightly, and slow down carb digestion even more. It worked... he just had his last appointment and has finally gotten to 65 pounds.